希望水平在维持性血液透析患者家庭关怀度与衰弱现状间的中介作用  

The mediating role of hope level in the relationship between family caring degree and frailtycondition among maintenance hemodialysis patients

作　　者：金盈盈[1] 谷禾[1] 程琼瑶 金领微[1] JIN Yingying;GU He;CHENG Qiongyao;JIN Lingwei(Hemodialysis Room,the Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院血透室,浙江温州325000

出　　处：《中华全科医学》2025年第5期789-793,共5页Chinese Journal of General Practice

基　　金：浙江省卫生健康委项目(2024KY1285);温州市科技计划项目(Y20240441)。

摘　　要：目的 目前关于维持性血液透析(MHD)患者希望水平、家庭关怀度、衰弱现状之间的具体关系尚缺乏报道,本研究对三者的关系进行分析,旨在减轻或延缓患者的衰弱状况。方法 采用方便抽样法选取2023年1月—2024年6月温州医科大学附属第二医院收治的128例MHD患者进行调查。采用Pearson相关性分析、分层回归分析、多元回归分析等方法分析MHD患者希望水平在家庭关怀度与衰弱现状间的中介作用。结果 蒂尔堡衰弱指标量表(TFI)评分与家庭关怀度指数问卷(APGAR)评分、中文版Herth希望量表(HHI)评分均呈负相关关系,HHI评分与APGAR评分呈正相关关系(P<0.05)。年龄、跌倒史、合并基础疾病种类、APGAR评分、HHI评分进入回归方程,以上影响因素可解释MHD患者TFI评分的64.9%。家庭关怀度可负向预测衰弱现状,正向预测希望水平。增加中介变量希望水平后,家庭关怀度、希望水平对衰弱现状仍有预测作用(P<0.05)。希望水平在MHD患者家庭关怀度与衰弱现状间存在中介作用,中介效应占比为30.90%。结论 MHD患者衰弱现状处于较高水平,家庭关怀度可直接影响患者衰弱现状,也可通过希望水平的中介作用间接影响衰弱现状,提示应重视患者的家庭参与,以提升患者的希望水平,减轻或延缓患者衰弱状况。Objective The specific interrelationships among hope level,family caring degree,and frailty status in maintenance hemodialysis(MHD)patients remain understudied.The present study investigates the associations between the aforementioned factors in order to inform interventions aimed at mitigating or delaying the onset of frailty in this population.Methods From January 2023 to June 2024,MHD patients at the Second Affiliated Hospital of Wenzhou Medical University were selected by means of a convenient sampling method for the purpose of investigation and analysis.To analyze the mediating role of hope level in the relationship between family care and frailty status among MHD(Maintenance Hemodialysis)patients using Pearson correlation analysis,hierarchical regression analysis,and multiple regression analysis,the following approach can be taken.Results The Tilburg Frailty Indicator(TFI)score demonstrated a negative correlation with both the Family Adaptation,Partnership,Growth,Affection,and family APGAR index(APGAR)score and the Chinese version of the Herth Hope Index(HHI)score(all P<0.05).Furthemore,a positive correlation was observed between the HHI score and the APGAR score(P<0.05).The regression equation was constructed with the following variables:age,fall history,type of underlying disease,APGAR score,and HHI score.The regression equation,explained 64.9%of the TFI score of MHD patients.The findings of this study indicate that a family caring degree may serve as a predictor of both frailty status and hope level,with a statistical significance of P<0.05.Following an increase in the hope level of the intermediate variable,the family caring degree and the hope level maintained a predictive effect on the frailty status.The present study hypothesized that hope level would have a mediating effect between family caring degree and debilitation status of MHD patients,and that this effect would account for 30.90%of the variance.Conclusion The frailty status of MHD patients is elevated,and the degree of frailty condition can d

关 键 词：维持性血液透析 家庭关怀度 衰弱现状 希望水平 中介作用 

分 类 号：R459.5[医药卫生—治疗学]